Revenue Cycle Customer Service Specialist

Primary Job Responsibilities

• Act as RCM initial point of contact for patient calls related to general account balance inquiries, patient demographic updates and billing-related disputes or questions.
• Update patient demographics and insurance information as appropriate.
• Review patient account to effectively explain balance details to patient
• Process incoming credit card payments during patient call.
• Understand and effectively communicate to patient how claim was processed by payor (copay, deductible, coinsurance).
• Set up an acceptable payment plan based on the organization’s patient financial policy.
• Absorb actions for patient accounts when correspondence is received for bankruptcies, death, and legal correspondence (divorce, guarantor changes; provide statements for auto accident lawsuits, etc.).
• Participate in workgroups providing feedback and education on patient account activities.

Requirements

• Experience working within EMR systems
• Ability to utilize various computer applications, including Microsoft Office (Outlook, Word, and Excel)
• Knowledge of Medicare, Medicaid, and Managed Care payor policies
• Ability to interpret insurance payor explanation of benefits
• Familiarity with CPT and ICD-10 coding
• Strong customer service background and effective communication skills

Qualifications

• Minimum of three (3) years of experience working in a physician office, hospital, or other healthcare call center setting

Skills

• High School Diploma/GED

Benefits

(This is a full time position based in Charlotte NC, with a hybrid schedule, Monday to Friday 8 am to 5 pm)

Pay

(Not specified)

Schedule

(Not specified)

Benefits

(Not specified)